Provider Demographics
NPI:1033533914
Name:A1 QUEEN SANCHEZ HOME HEALTH
Entity Type:Organization
Organization Name:A1 QUEEN SANCHEZ HOME HEALTH
Other - Org Name:A1 QUEEN SANCHEZ HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO /ADMINISTRATOR/ C.N.A
Authorized Official - Prefix:MISS
Authorized Official - First Name:ARAINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:678-886-7914
Mailing Address - Street 1:1302 TEASLEY LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-7946
Mailing Address - Country:US
Mailing Address - Phone:678-886-7914
Mailing Address - Fax:
Practice Address - Street 1:1302 TEASLEY LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-7946
Practice Address - Country:US
Practice Address - Phone:678-886-7914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 251E00000X, 251F00000X, 251G00000X, 253Z00000X, 251E00000X
TXLVN222045251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care